Organization
ADVANCED CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL HOPE JR. (VICE PRESIDENT)
(504) 338-9858
Entity
Organization
Contact information
Practice address
1405 AIRLINE DR, METAIRIE, LA 70001-5901
(504) 520-8970
(504) 520-8971
Mailing address
1405 AIRLINE DR, METAIRIE, LA 70001-5901
(504) 520-8970
(504) 520-8971
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D1034225
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626325
—
LA
Enumeration date
02/20/2007
Last updated
05/24/2024
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